| NPI | 1407496946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2280847) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: MA RN2280847) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-02-14 |